Individual provider Active NPI

Jane Doan, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1568953941
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12003 Issued in TX
Practice address
6550 Fannin St Ste 1501
Houston, TX 77030
Phone
(713) 441-5177
NPI assigned
May 22, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12003 TX Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

6550 Fannin St Ste 1501
Houston, TX 77030

Mailing address

6550 Fannin St Ste 1501
Houston, TX 77030-2743
Phone (713) 441-5177

Other practice location 1

6550 Fannin St.
Smith Tower, Suite 1661
Houston, TX 77030-0000
Phone (713) 441-5155

Other practice location 2

6550 Fannin St.
Smith Tower, Suite 1661
Houston, TX 77030-0000
Phone (713) 441-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726000889 TX Practitioner - Physician Assistant 8426305186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6550 Fannin St
Houston, TX 77030-2743

6565 Fannin St
Houston, TX 77030-2703

6565 Fannin St Main
577 Methodist Acad Med Assoc
Houston, TX 77030-2703
Phone (713) 441-0428

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12003TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jun 4, 2018 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 4, 2018 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141

6550 Fannin St
Ste 1661
Houston, TX 77030
Phone (713) 363-9604

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: jdoan209018@directhoustonmethodist.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1568953941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302743",
            "telephone_number": "713-441-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-441-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St.",
            "address_2": "Smith Tower, Suite 1661",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770300000",
            "country_code": "US",
            "telephone_number": "713-441-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 Fannin St.",
            "address_2": "Smith Tower, Suite 1661",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770300000",
            "country_code": "US",
            "telephone_number": "713-441-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12003",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.